Nursing Theory Plan of Care

2124 words 9 pages
Nursing Theory Plan of Care
Theoretical Foundations of Practice
NUR/513
March 05, 2012

Nursing Theory Plan of Care Ida Orlando literally wrote the book on the function of nursing. Her theory of the deliberative nursing process outlines a dynamic nurse-patient relationship in which the nurse uses his or her senses of perception together with deliberate actions to create an individualized care plan for each patient. Results of current research on the application of her theory follow a brief concept analysis and overview. Finally, a case study outlines the application of Orlando's deliberative nursing process.
Concept Analysis of Orlando's Theory Orlando's theory hinges on the major tenets of nursing and the concept of
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Issler needs his respiratory status under control. His first step of going to the ER is a step in the right direction. The nurse's primary priority deals with respiratory and cardiac status; therefore, the first nursing diagnosis is impaired gas exchange (Doenges, Moorhouse, & Murr, 2011). The nurse also notes that Mr. Issler's blood pressure is skyrocketing. This will contribute to his congestive heart failure, increase the likelihood of renal failure, and may cause major bleeding problems with the administration of Coumadin. The nurse’s second priority diagnosis concerns fluid volume excess related to renal insufficiency and congestive heart failure as evidenced by elevated blood pressure, low pulse oximetry, and renal function lab results. Mr. Issler is also still grieving the recent loss of his wife and has lost his family support system. Questions about his relationship with his estranged son remain. This, coupled with a move to his ex daughter-in-law's house in an unfamiliar area may be contributing to anxiety, depression, and a self-care deficit.
Automatic Actions Automatic actions are largely nursing actions carried out according to protocol or physician orders. Automatic actions are sometimes observation skills or nursing actions that do not need a physician’s orders. To assess Mr. Issler, the nurse automatically does a head-to-toe assessment and continues to monitor his blood

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